Mr Robert O Costa, LMT is a
Massage Therapist based in Tijeras, New Mexico. Mr Robert O Costa is licensed to practice in New Mexico (license number 5365) and his current practice location is
19 Camino Linda, Tijeras, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 417-6182.
NPI number for Mr Robert O Costa is 1598963845 and his current mailing address is 19 Camino Linda, Tijeras, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598963845.
Healthcare Provider's Profile
Full Name | Mr Robert O Costa |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 19 Camino Linda, Tijeras, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598963845
- Provider Enumeration Date: 07/09/2007
- Last Update Date: 11/13/2019
Medical Identifiers
Medical identifiers for Mr Robert O Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598963845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 5365 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert O Costa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert O Costa, LMT 19 Camino Linda, Tijeras, NM 87059-8041 Ph: (505) 417-6182 | Mr Robert O Costa, LMT 19 Camino Linda, Tijeras, NM 87059-8041 Ph: (505) 417-6182 |
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